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Meter Swap REQUEST FOR SERVICE REPORT CITY OF FRIDLEY Reference No. � � � r �� Date: S- zo � /s' � Request Type: p��>,�:'. � �'�.� r<<.,�� Entered BY� ;��r<<.�y� �..;, �--..a,.K �� Department: ��;��v::�: �f Citizen Name: Address: � � , � , �. Phone Number: Scheduled Date: �-' a��J� � Property Owner: Location Details: Request Details: Action Taken: `'r e.cj; C_',..; t.�►� ,s -,.�, ,�.. ..�, . � Y , _. � + , ' , , Res onsible Person: ' ' ;, ' p /_ , -��`�,:,a , �/ Approver: Completion Date: Citizen Notified: ��; ��;.._